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Erector Spinae Plane Block and Chronic Pain: An Updated Review and Possible Future Directions

Alessandro De Cassai, Federico Geraldini, Ulderico Freo, Annalisa Boscolo, Tommaso Pettenuzzo, Francesco Zarantonello, Nicolò Sella, Serkan Tulgar, Veronica Busetto, Sebastiano Negro, Marina Munari, Paolo Navalesi

2023Biology23 citationsDOIOpen Access PDF

Abstract

Chronic pain is a common, pervasive, and often disabling medical condition that affects millions of people worldwide. According to the Global Burden of Disease survey, painful chronic conditions are causing the largest numbers of years lived with disability worldwide. In America, more than one in five adults experiences chronic pain. Erector spinae plane block is a novel regional anesthesia technique used to provide analgesia with multiple possible uses and a relatively low learning curve and complication rate. Here, we review the erector spinae plane block rationale, mechanism of action and possible complications, and discuss its potential use for chronic pain with possible future directions for research.

Topics & Concepts

Chronic painBlock (permutation group theory)Chronic diseasePhysical medicine and rehabilitationBiologyErector spinae musclesPhysical therapyNeuroscienceMedicineIntensive care medicineElectromyographyMathematicsGeometryAnesthesia and Pain ManagementSpine and Intervertebral Disc PathologyPain Management and Opioid Use